Jerry R Petersen, MD - Family Medicine in Spring Park, MN

Jerry R Petersen, MD is a Family Medicine physician based in Spring Park, Minnesota. Jerry R Petersen is licensed to practice in Minnesota (license number 20372) and his current practice location is 4695 Shoreline Dr, Spring Park, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 442-7890.

NPI number for Jerry R Petersen is 1467451344 and his current mailing address is 4695 Shoreline Dr, Spring Park, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467451344.

Contact Information

Jerry R Petersen, MD
4695 Shoreline Dr,
Spring Park, MN 55384-9715
(952) 442-7890
(952) 442-7893

Map and Direction




Physician's Profile

Full NameJerry R Petersen
GenderMale
SpecialityFamily Medicine
Location4695 Shoreline Dr, Spring Park, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467451344
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 05/12/2008

Medical Identifiers

Medical identifiers for Jerry R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467451344NPI-NPPES
20372OtherMNMEDICAL LICENSE
5093724700MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20372 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry R Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry R Petersen, MD
4695 Shoreline Dr,
Spring Park, MN 55384-9715

Ph: (952) 442-7890
Jerry R Petersen, MD
4695 Shoreline Dr,
Spring Park, MN 55384-9715

Ph: (952) 442-7890

Reviews and Comments


Family Medicine Doctors in Spring Park, MN

Dr. Julie A Dejong, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384
Phone: 952-442-7890    
Steven Jay Nerheim, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384
Phone: 952-442-7890    Fax: 952-442-7893
Sheila N Seats, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384
Phone: 952-442-7890    Fax: 952-442-7893
Mary Moe Trites, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384
Phone: 952-442-7890    Fax: 952-442-7893

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.